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PRIME Time - Medical School Application Seminar sign-up form

Please complete the webform by February 21st to apply to this seminar.

To qualify you must:

Be applying to medical school in the 2022-23 cycle

Agree to atend all four sessions

Agree to attend three mentoring sessions

Complete post-seminar surveys

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First Name *

Last Name *

E-mail address *

Phone # *

Undergraduate Institution *

Graduation Year *

Tell us a bit about yourself (one paragraph): *

When are you applying to medical school? *

Do you have a mentor (or mentors) who provide advice and support with your plans to apply to medical school? *

Have you drafted a personal statement? *

Yes

No

I am working on it

Have you drafted a disadvantaged statement? *

Yes

No

I am working on it

Do you identify as an under-represented minority student? If so, how? *

Are you a first-generation student? *

Yes

No

MCAT Status *

I will be completing the MCAT this spring

I have already completed the MCAT

MCAT score (if applicable)

What do you hope to gain from this seminar? *

Agreements: (you must select all to qualify) *

I am committed to attending all four workshops

I am committed to completing three sessions with the assigned mentor

I agree that I will complete post-workshop surveys

Leave this field blank

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